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DR. LAUREN M. BONATI M.

>> Dermatology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1982947891

Individual Registrant:
DR. LAUREN M. BONATI M.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
105 EDWARDS VILLAGE BOULEVARD G211 EDWARDS, CO 81632-3211 US
Tel: 970-926-1800  Fax: 888-505-2650

Contact information for business:
PO BOX 2606  EDWARDS, CO 81632-2606 US
Tel: 970-926-1800  Fax: 888-505-2650

Registration Information:
NPI: 1982947891
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N207N00000XAllopathic & Osteopathic Physicians
Dermatology
CODR.0060623
N390200000XStudent
Organized Health Care Education/Training Program
FL
Y207ND0101XAllopathic & Osteopathic Physicians
Dermatology
CODR.0060623

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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